FDA Adverse Event Malfunction Summary report: N

AED PLUS

MDR report key: 7052522 · Received November 22, 2017

Report

Report Number
1220908-2017-02968
Event Type
Malfunction
Date Received
November 22, 2017
Report Date
November 6, 2017
Manufacturer
ZOLL MEDICAL CORPORATION
Product Code
MKJ
UDI-DI
00847946002152
PMA / PMN Number
K011541
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NC, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

ZOLL MEDICAL CORPORATION HAS RECEIVED THE PRODUCT AND WILL BE PROVIDING A SUPPLEMENTAL REPORT WHEN OUR INVESTIGATION IS COMPLETED.

Additional Manufacturer Narrative · 1

ZOLL MEDICAL CORPORATION EVALUATED THE DEVICE AND THE DEVICE PERFORMED TO SPECIFICATION. THE DEVICE WAS RECERTIFIED AND RETURNED TO THE CUSTOMER. REVIEW OF THE DEVICE ACTIVITY LOGS SHOWED NO EVIDENCE TO CONFIRM A UNIT FAILED IN RESCUE MODE. THIS HAS BEEN CLOSED AS REPORT UNSUBSTANTIATED. ANALYSIS OF REPORTS OF THIS TYPE HAS NOT IDENTIFIED AN INCREASE IN TREND.

Description of Event or Problem · 1

COMPLAINANT ALLEGED THAT DURING FUNCTIONAL TESTING, THE DEVICE PROMPTED A "UNIT FAILED" MESSAGE. COMPLAINANT INDICATED THAT THERE WAS NO PATIENT INVOLVEMENT IN THE REPORTED MALFUNCTION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
832826 AED PLUS DEFIBRILLATOR MKJ ZOLL MEDICAL CORPORATION AED PLUS NA 00847946002152

Patients

Seq Age Sex Outcome Treatment
1